Mcbrine, Ericka Tisdale

Mcbrine, Ericka Tisdale is an individual health care provider with primary practice located at 101 W Creek St , Fredericksburg TX 78624-3730. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mcbrine, Ericka Tisdale can be contacted via phone (830) 990-1178.

Contact Information

Primary practice address
101 W Creek St Fredericksburg TX 78624-3730
Phone: (830) 990-1178
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401412221 Virginia
Dental Providers / General Practice 1223G0001X 22785 Texas

Profile Details

NPI number 1467633305
LBN Legal business name Mcbrine, Ericka Tisdale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Jan 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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